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1588135560
ENGELBERT ALEXIS MORA
LAS VEGAS, NV
NPI
1588135560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
ENGELBERT ALEXIS MORA
4462 WISCONSIN AVE
LAS VEGAS, NV 89104-5521
Phone number: 702-572-2410
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Mailing Address
ENGELBERT ALEXIS MORA
4462 WISCONSIN AVE
LAS VEGAS, NV 89104-5521
Phone number: 702-572-2410
Copy
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